Active NPI
Smile Den LLC
- Pediatric Dentistry
- Florham Park, NJ
National Provider Identifier
1801641519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- Legal business name
- SMILE DEN LLC
- Practice address
- 119 Columbia Tpke Ste 201
Florham Park, NJ 07932-2906 - Phone
- (973) 210-4910
- NPI assigned
- Apr 17, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Purvy Shah, DMD
- Title
- Owner/Orthodontist
- Phone
- (267) 210-1849
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | Primary | ||
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X |
Addresses
Primary practice location
119 Columbia Tpke Ste 201
Florham Park, NJ 07932-2906
Mailing address
119 Columbia Tpke Ste 201
Florham Park, NJ 07932-2906
Phone (973) 210-4910
Other names 1
- The Smile Den
National Provider Directory
National Provider DirectoryLocations
119 Columbia Tpke
Ste 201
Florham Park, NJ 07932
Phone (973) 210-4910
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Florham Park, NJ
- NPI 1851734529
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713312000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1713312000000",
"number": "1801641519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 COLUMBIA TPKE STE 201",
"city": "FLORHAM PARK",
"state": "NJ",
"postal_code": "079322906",
"telephone_number": "973-210-4910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 COLUMBIA TPKE STE 201",
"city": "FLORHAM PARK",
"state": "NJ",
"postal_code": "079322906",
"telephone_number": "973-210-4910"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SMILE DEN LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-17",
"last_updated": "2024-04-17",
"certification_date": "2024-04-17",
"status": "A",
"authorized_official_last_name": "SHAH",
"authorized_official_first_name": "PURVY",
"authorized_official_title_or_position": "OWNER/ORTHODONTIST",
"authorized_official_telephone_number": "267-210-1849",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": null,
"license": null,
"primary": true
},
{
"code": "1223X0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "The Smile Den",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Florham Park, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.